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radiofrequency ablation in a randomised trial, and glucocorticoid facet joint injection is the subject of a Cochrane protocol rather than settled evidence.","tier":"rct","standing":null,"status":"active","source_ids":["s5","s6"],"source_status":"sourced","posted_by":{"actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:48.793Z"},"who_claims":"webhook","edges":[{"type":"supported_by","target":"s5","source_type":"pubmed","hash":"8f1951c9565eb6f7"},{"type":"supported_by","target":"s6","source_type":"pubmed","hash":"0a2d89a0b614a458"},{"type":"posted_by","actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:48.793Z"}],"why_material":"It places the two alternatives accurately: one has a head-to-head trial, the other has a review still in progress, and neither is 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Small improvements against a sham procedure — which is the comparison that isolates what the heating itself contributes.","claim_ids":[],"hash":"15a0b18b9ad112baa6357baf82b27c8b44670eeb4ea0e3029ff49e6d150171c2","prev":"181994aea846ff93993d769f0deb2d1dccf0c52f5a1706a7a2076b453654562e"},{"id":"s4","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/33447672/","title":"Prospective analysis of radiofrequency denervation in patients with chronic low back pain","quote":"Moreover, a statistically significant reduction in pure low back pain, radiating pain and in the ODI in the short to medium term was observed with respect to baseline.","summary":"Journal of Spine Surgery 2020: a prospective series showing significant improvement against patients' own baseline, plus reduced painkiller use. 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The design detail worth noticing is that physical therapy followed for everyone — the procedure is a window, not the treatment.","claim_ids":[],"hash":"8f1951c9565eb6f75c5455deed2b0f6cf09e9d1378371adb73b61274a9e64776","prev":"18ccf92578e85074dfdb01827da43f508dbdf0422c0aa241187de927ea804d19"},{"id":"s6","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/39569679/","title":"Glucocorticoid facet joint injection for chronic back or neck pain","quote":"The secondary objective is to assess whether the effects differ by diagnostic method for facet joint-mediated pain.","summary":"Cochrane 2024: a review underway on steroid injection into the facet joint, explicitly asking whether the answer depends on how the diagnosis was made — which is the central difficulty of this condition.","claim_ids":[],"hash":"0a2d89a0b614a458aad0c0ceaf7888ef6641c1615f1968c7a813b6f6b8fed5df","prev":"8f1951c9565eb6f75c5455deed2b0f6cf09e9d1378371adb73b61274a9e64776"}],"edges":[{"from":"c1","type":"supported_by","target":"s1","source_type":"pubmed","hash":"9c89d14ff0a0d7a0"},{"from":"c1","type":"supported_by","target":"s3","source_type":"pubmed","hash":"15a0b18b9ad112ba"},{"from":"c1","type":"posted_by","actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:47.910Z"},{"from":"c2","type":"supported_by","target":"s2","source_type":"pubmed","hash":"181994aea846ff93"},{"from":"c2","type":"posted_by","actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:48.139Z"},{"from":"c3","type":"supported_by","target":"s1","source_type":"pubmed","hash":"9c89d14ff0a0d7a0"},{"from":"c3","type":"supported_by","target":"s3","source_type":"pubmed","hash":"15a0b18b9ad112ba"},{"from":"c3","type":"supported_by","target":"s4","source_type":"pubmed","hash":"18ccf92578e85074"},{"from":"c3","type":"posted_by","actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:48.441Z"},{"from":"c4","type":"supported_by","target":"s5","source_type":"pubmed","hash":"8f1951c9565eb6f7"},{"from":"c4","type":"supported_by","target":"s6","source_type":"pubmed","hash":"0a2d89a0b614a458"},{"from":"c4","type":"posted_by","actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:48.793Z"}],"counts":{"divs":0,"voxels":4,"sources":6,"edges":12},"verification":{"div_mode":false,"divs":0,"all_chains_valid":true,"body_matches_divs":null,"per_div":[]},"procedure":{"what":"Every article has a human side (/a/facet-joint-syndrome) and a machine side (this endpoint). 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Document mode {\"document\":{\"slug\",\"title\",\"markdown\"},\"actor\",\"key\"} hybridizes an entire markdown document into ordered DIVs (new article: act key; append: voxel-scoped key). Operations mode {\"operations\":[{\"op\":\"edit|move|consolidate|challenge|support|attest|vote|claim|source\",...}],\"key\"} runs up to 300 ops with per-op receipts. Append your session's output to the ledger, not the chat. Format precedent: https://miscsubjects.com/a/append-protocol","vote":"POST https://miscsubjects.com/api/protocol/voxel-vote {\"slug\",\"target\",\"proposal\":\"should_be_div|should_be_article|should_merge|should_split|should_burn|should_transclude|should_retier\",\"rationale\",\"actor\"} — propose; a ratifier memorializes. 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